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  • 1.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Omsorg som arbete: Om utbildning, arbetsmiljö och relationer i äldre- och handikappomsorgen2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: At the central administrative level in Sweden, care work is presented as a complex task for which personnel require special qualifications. In elderly care, questions of training and qualifications form the highly topical theme noticed by central actors. According to The National Board of Health and Welfare, the supply of manpower and the educational levels of the workers are the most important factors in ensuring high quality care for the elderly. The question of educational levels is, however, with the exception of personal assistants, not given as much attention in care for people with disabilities.

    Aim: The aim of this dissertation is firstly to compare elderly care and care for persons with disabilities with the focus to describe and analyse education and work environment in these sectors. Secondly, the aim is to analyse if, and if so how, questions of education interacts with personnel’s view of the social work environment.

    Methods: The thesis is comprised of four studies and paper 1, 2 and 3 are based on the results of a qualitative interview study, which was comprised of 48 persons who worked in elderly care and the care for persons with disabilities. Of the 48 persons who took part in the study, 11 of them worked as middle managers and 37 worked as care workers in the every day care. Paper 4 consists of a research summary on how education for care workers is being studied in a Swedish and an international context.

    The personnel who participated in the interview study work in different care settings; in elderly care the personnel work in both sheltered housing and public home care services. In the care for disabled persons, the personnel work in residential housing with special services, in public daily activities for people with intellectual disabilities and as personal assistants.

    Result: Both managers and personnel find it important for care workers to have a degree of educational background as a basis for the learning process at the work place. The results also show that educational levels and the work environment are themes that are discussed differently by different actors. In previous research on education for care workers in both elderly care and the care for People with disabilities, academic education or education at a ground level has been seen as problematic due to the distance it is said to create between the worker and the care recipient. My results show that the discussion about education for care workers has become rather biased, and that highly educated personnel tend to be more aware of the power they possesses and that the relation to the care receiver is important. In elderly care the issue of education seems to be more a question of a general educational level. In the care for people with disabilities, the question of education for personnel is on a more individual basis, where the care workers learn together with the care recipient. Educational levels, the work environment and relations with colleagues and care recipients are connected and support from the managers is important for understanding the work and the relational perspective.

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  • 2.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    To organise for care work: Work environment and relational aspects of care work in Sweden2008In: Care work in crisis:: Reclaiming the Nordic ethos of care, Studentlitteratur , 2008, p. 304-322Chapter in book (Other academic)
  • 3.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Utbildning och mångfald2010In: Omsorg och mångfald / [ed] Stina Johansson, Malmö: Gleerups Utbildning AB, 2010, p. 179-192Chapter in book (Other academic)
  • 4.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Andersson, Tommy
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Snellman, Fredrik
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sundström, Madelene
    NCK.
    Heimer, Gun
    NCK.
    Prevalence and correlates of sexual, physical, and psychological violence against women and men of 60 to 74 years in Sweden2020In: Journal of Interpersonal Violence, ISSN 0886-2605, E-ISSN 1552-6518, Vol. 35, no 5-6, p. 1539-1561Article in journal (Refereed)
    Abstract [en]

    Past-year sexual, physical, and psychological violence against women and men aged 60 to 74 years was studied. The data derived from a nationally representative survey on violence in which approximately 2,800 women and men aged 60 to 74 years in Sweden participated. Women were significantly more likely to have been subjected to at least one form of violence in the past year. The prevalence of sexual violence as well as systematic and repeated psychological violence was found to be significantly higher for women than for men. Sexual violence was the most common form of violence against women. Systematic and repeated psychological violence was the most common form of violence against men. Additional gender differences were found in relation to victim characteristics. While associations among women were found between violence victimization and sociodemographic characteristics, health as well as social capital, only health-related characteristics were found to be associated with past-year violence victimization among men. Among women, economic problems, posttraumatic stress disorder (PTSD) symptoms, lack of trust in other people, and not having anyone to talk to were associated with violence victimization. Poor psychological health and an at-risk consumption of alcohol were found to be associated with violence victimization among men. The results highlight the importance of research on violence victimization to assess gender differences also when inquiring into the situation among persons in older generations. The results also indicate practical implications for caring professions; the need to inquire into the experiences of violence among older persons and to pay particular attention to these characteristics when encountering women and men in this age interval.

  • 5.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Dufåker, Mona
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Kalman, Hildur
    Umeå University, Faculty of Social Sciences, Department of Social Work. Umeå University, Faculty of Social Sciences, Umeå Centre for Gender Studies (UCGS).
    På träningsläger inför C-uppsatsen2010In: Undervisning på tvären: student- och lärarerfarenheter : den nionde universitetspedagogiska konferensen 25-26 februari 2009 : konferensrapport / [ed] Erik Lindenius, Umeå: Universitetspedagogiskt centrum, Umeå universitet , 2010, p. 29-46Conference paper (Refereed)
  • 6.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Johansson, Stina
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Omvårdnadsprogrammet: genomströmning, etableringsgrad och utbildningens relevans2011Report (Refereed)
    Abstract [sv]

    I den offentliga omsorgen om äldre och personer med funktionshinder arbetar i dag personal som tillsammans utgör det största yrkesområdet i Sverige. I rapporten studeras hur intentionerna med att höja utbildningsnivån för äldreomsorgens personal genom att formalisera all kompetens kring en utbildning lyckats. Till grund för analysen ligger enkätdata samt statistik från SCB.

    Undersökningen visar att gymnasieskolans omvårdnadsprogram inte som enda aktör kan utbilda personal i en omfattning som motsvarar de framtida rekryteringsbehoven. Detta trots att omvårdnadsprogrammet har en god genomströmning och trots att en stor andel av eleverna arbetar inom avsedda målgruppsområden efter avslutade studier. Av de som avgick från omvårdnadsprogrammet 2000 och som finns i arbete 2008, arbetade 78 procent i ett målgruppsområde, de flesta som vård- och omsorgspersonal (SSYK 513) följt av sjukstöterskor (SSYK 223 och 323).

    Rapporten visar att utbildningen på omvårdnadsprogrammet har förberett eleverna för kommande arbetsliv på ett bra sätt, ett påstående som både de som arbetade och de som inte arbetade inom vård- och omsorg instämde i. Däremot råder det en stor variation bland de som arbetade inom vård- och omsorgsfältet vad gäller om kunskapen tas tillvara på den nuvarande arbetsplatsen.

  • 7.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Social Welfare.
    Johansson, Stina
    Umeå University, Faculty of Social Sciences, Social Welfare.
    Omvårdnadsutbildning som mål eller medel?: Om legitimitetsproblem och kunskapssyn2006In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 13, no 3, p. 212-227Article in journal (Refereed)
  • 8.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Johansson, Stina
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Upper secondare health care programme as means or measure?: On the problem of legitimacy and the view of knowledge2008In: Care work in crisis: Reclaiming the Nordic ethos of care, Lund: Studentlitteratur , 2008, p. 324-340Chapter in book (Refereed)
  • 9.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Johansson, Stina
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Utbildning och kompetensfrågor för äldre- och handikappomsorgens personal: En forskningsöversikt2008In: Tidskriften Socionomens forskningsöversikt, ISSN 0283-1929, no 6, p. 70-82Article in journal (Refereed)
  • 10.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Kalman, Hildur
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Seminariets roll i forskarutbildningen2021In: Att forska i socialt arbete: utmaningar, förhållningssätt och metoder / [ed] Petra Ahnlund. Lennart Sauer, Lund: Studentlitteratur AB, 2021, 2, p. 213-224Chapter in book (Other academic)
  • 11.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Lövgren, Veronica
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Andersson, Katarina
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Kalman, Hildur
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Perceptions of intimacy and integrity in formal home care: [Föreställningar om intimitet och integritet i hemtjänst och personlig assistans]2023In: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 26, no 5, p. 828-839Article in journal (Refereed)
    Abstract [en]

    Sweden has a long tradition of providing social care and support to its citizens in their own homes through formal home care, delivered either by home care services or personal assistance. A majority of people given support by formal home care need assistance with personal and intimate care. The focus of this interview study was on exploring care recipients’, care workers’, personal assistants’ and care unit managers’ perceptions and experiences of intimate and personal care in the context of formal home care in Sweden. In total, 57 interviews were conducted with 42 persons. Three themes emerged in the analysis: Personal Hygiene, Personal Sphere, and The Contextual Variability of Intimacy. Interviewees described intimate care as being inseparable from a person’s service needs as a whole. Highlighted was how caring for and washing intimate body parts, intrusion into recipients’ personal spheres, and the need to preserve integrity vary depending on situational, temporal and relational aspects. To safeguard the care recipient’s influence, integrity and dignity in the reception/provision of care work, home care services and personal assistance, it is important to raise awareness of the variation in perceptions of intimate and personal care in education and inhouse training.

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  • 12.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Perdahl, Anna-Lena
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sauer, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Social work education in northern rural sweden: Pedagogical challenges and possibilities2024Conference paper (Other academic)
  • 13.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sauer, LennartUmeå University, Faculty of Social Sciences, Department of Social Work.
    Att forska i socialt arbete: utmaningar, förhållningssätt och metoder2021Collection (editor) (Other academic)
    Abstract [sv]

    Det praktiska sociala arbetet bygger alltmer på vetenskaplig och empiriskt baserad kunskap. Samhället blir alltmer komplext vilket leder till att kunskapsutveckling och forskningsmetoder utgör en allt viktigare del inom såväl utbildningen av socionomer som i andra samhällsvetenskapliga utbildningar. 

    Att forska i socialt arbete behandlar forskningsmetodik i relation till empiriska studier av det sociala arbetet. Bokens kapitel speglar variationer i forskningsmetodik och olika metodologiska angrepps­­sätt diskuteras ur olika aspekter. Kapitelförfattarna disku­terar och beskriver allt från kunskapsteori och forskningsetik till forsknings­traditioner samt såväl kvalitativa som kvantitativa analysmetoder. 

    I denna andra omarbetade upplaga har alla kapitel reviderats och uppdaterats, vidare finns också några helt nyskrivna kapitel. 

    Att forska i socialt arbete vänder sig till studerande på socionom­programmen samt till studerande och yrkesverksamma inom välfärdsområdet.

  • 14.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sauer, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Influence in elderly and disability care2016In: 6th European Conference for Social Work Research. Reflective social work practices in contemporary societies:dialogues and new pathways between praxis and research: Book of Abstracts & Programme Book / [ed] Francisco Branco, Inês Amaro, Cristina Albuquerque, Maria Isabel Santos, Ana Oliveira and Inês Guerra, 2016, p. 321-321Conference paper (Other academic)
    Abstract [en]

    Care for elderly and care for persons with disabilities are two sectors in the welfare state, aiming to give support, care and service when needed. There are both similarities and differences between the two sectors, our interest is how the concept influence has been discussed and understood in this both sectors. Influence is regulated in the Swedish Social Service Act and in the act concerning Support and Service for Persons with Certain Functional Impairments but is operationalized in different ways in care for elderly and care for persons with disabilities. It is for example much more concrete described for the care of persons with disabilities. In the care for elderly, influence is described in a more general way whit diffuse terminology.

    The aim with the presentation is to discus differences and similarities in relation to influence and its consequences for the every day life. Laws, policies and previous research are discussed as is interviews with personnel working in respectively sector focusing on their descriptions of what they do at work. Our results show that personnel in the care for persons with disabilities include their clients in their work, influence is more visible for that group, and it is something obvious to consider at work in relation to participation and influence in ones own life. For the personnel in the care for elderly, influence is not as visible as a concept and when they talk about their work, they talk about routines and organisational needs. Our conclusions are that organisational guidelines as well as laws and policy decisions creates different opportunities to make influence for clients possible. 

  • 15.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sauer, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Inflytande2016In: Förändringsperspektiv på äldreomsorg: att leva som andra / [ed] Stina Johansson & Annika Taghizadeh Larsson, Malmö: Gleerups Utbildning AB, 2016, 1, p. 119-128Chapter in book (Other academic)
  • 16.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sauer, Lennart
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Omsorg, pratik och retorik: Om skillnader i uttryckssätt bland personal i äldre- och handikappomsorgen2008In: Nordisk sosialt arbeid, ISSN 0333-1342, E-ISSN 1504-3037, Vol. 28, no 1, p. 42-54Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to analyse the stories told by care workers engaged in formal care of the elderly and persons with disabilities. The empirical material consists of qualitative interviews with 28 Swedish care workers. The analysis reveals that the personnel in both care settings are focusing on routines and support for their caretakers, but are doing so in different ways. Our interpretation focuses on the differences between the personnel engaged in elderly and disability care and on how the relations between care workers and caretakers are being revealed in the narratives. The conclusion is that the personnel are affected by structural conditions such as ideologies, laws and the design of the settings.

  • 17.
    Ahnlund, Petra
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Wikström, Eva
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Arbetslinjen i fokus: En analys av flykting- och etableringspolitiken2015In: FALF 2015 Conference: Book of Abstracts, 2015Conference paper (Refereed)
    Abstract [sv]

    I december 2010 sjösattes en ny reform för flyktingmottagandet i Sverige: Lagen om etableringsinsatser förvissa nyanlända (2009/10:197). Ett övergripande syfte med flyktingpolitiken är att ingen ska hamna i utanförskap,och därför fokuseras i reformen snabb arbetsmarknadsetablering genom betoningen på aktivering. Denna aktiveringspolitik återfinns i stora dela av Europa och inbegriper ’Welfare to work’, ett skifte från enpassiv välfärdslogik till en aktiv sådan för att förhindra beroende och passivitet främst för grupper som anses stå långt ifrån arbetsmarknaden. Den svenska versionen av en aktiv arbetsmarknadspolitik brukar benämnassom ”arbetslinje” och har ett tydligt fokus på att genom olika strategier stimulera alla med arbetsförmåga till sysselsättning. Dessa strategier kan handla om att öka anställbarhet men kan också innefatta villkorade ersättningar eller olika slags prestationsbelönande system.

    Syftet med presentationen är att beskriva hur etableringsinsatser för nyanlända legitimerar en arbetslinje i integrationen av flyktingar och deras anhöriga och hur flyktingen som subjekt konstrueras som en aktiv arbetare. Två centrala dokument, SOU 2008:58 och Regeringens proposition 2009/10:60, i vilken den nya lagen ingår, har analyserats med inspiration av kritisk diskursanalys och Bacchis problemdefinition (1999). Genom att ställa frågor om vad som utgör problemet, vilka dess orsaker är och hur lösningar konstrueras, med fokus på flyktingen, framkommer argumenten för flyktingpolitiken och dess inramning. Resultat från diskursanalysen visar bl.a. att lagen vilar på en princip om att snabbt komma till någon form av sysselsättning ses som en överordnat mål för att förebygga ett möjligt utanförskap och bidragsberoende. Det finns idag en tydlig markering i dokumenten att individen måste anpassa sig till arbetsmarknadens krav ochefterfrågan, ta ansvar för sitt deltagande och sin försörjning. Våra analyser visar en tydlig förskjutning från att betrakta ”flyktingen” som kategori grundat i ett humanrättsligt erkännande med ett visst behov av särskildastödinsatser, till att ses som en arbetssökande där arbete är en rättighet såväl som en skyldighet.

  • 18.
    Andersson, Katarina
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Urvalets betydelse för kvalitativa intervjuer2021In: Att forska i socialt arbete: utmaningar, förhållningssätt och metoder / [ed] Petra Ahnlund, Lennart Sauer, Lund: Studentlitteratur AB, 2021, 2, p. 199-212Chapter in book (Other academic)
  • 19.
    Andersson, Katarina
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Urvalets betydelse för kvalitativa studier i teori och praktik2009In: Att forska i socialt arbete: utmaningar, förhållningssätt och metoder / [ed] Lena Dahlgren, Lennart Sauer, 2009, 1Chapter in book (Other academic)
  • 20.
    Andersson, Katarina
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Lövgren, Veronica
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Kalman, Hildur
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Empathetic attuning: 'How would i feel if i had to expose myself all the time?'—strategies for managing personal and intimate care in swedish formal home care2023In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263X, Vol. 53, no 2, p. 921-938Article in journal (Refereed)
    Abstract [en]

    Sweden, as a welfare state, has a long tradition of providing formal home care and support to their citizens in their own homes, either through home care services or personal assistance. A large percentage of frail elderly and persons with disability who receive formal home care require personal and intimate care, such as help with eating, showering, getting dressed and personal hygiene. Managing intimacy and safeguarding the care recipient’s integrity pose particular challenges for staff. The aim of this qualitative interview study is to describe and analyse care workers’ (CWs) and personal assistants’ (PAs) strategies for managing situations and challenges related to provision of personal and intimate care in the context of formal home care. Semi-structured interviews with eleven CWs and nine PAs were conducted. Our analysis reveals a complex repertoire of relational and communicative strategies, within an overall approach - which we labelled 'empathetic attuning'—of relating to the current situation and task at hand whilst safeguarding integrity. These strategies were intertwined with dimensions of time. The possibility to accomplish satisfactory personal and intimate care rests on structural and organisational conditions that promote sustainable working conditions, where relations characterised by continuity, integrity and respect can be realised.

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    fulltext
  • 21.
    Backman, Annica
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sjögren, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lövheim, Hugo
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    McGilton, Katherine S.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Melbourne, Australia .
    Leading towards person-centred care – Nursing home managers' experiences of leading person-centred care in highly person-centred Swedish nursing homesManuscript (preprint) (Other academic)
    Abstract [en]

    Background:Although a growing body of research knowledge exists highlighting the importance of leadership for person-centred care, studies focused on nursing home managers’ own descriptions of leading their staff to provide person-centred care is lacking. This study aims to explore the process of nursing home managers’ leading person-centred care in Swedish nursing homes.

    Methods:The methods of the study consisted of semi-structured interviews with 12 nursing home managers within 11 highly person-centred nursing homes purposively selected from a national wide survey of nursing homes in Sweden. A qualitative content analysis was performed for data analyses.

    Results:The study revealed that the leading person-centred care in nursing homes can be outlined as comprising four processes: Embodying person-centred being and doing; promoting a person-centred atmosphere; maximizing person-centred team potential; and finally, optimizing person-centred support structures.

    Conclusion:This study contributes to the literature by providing concrete descriptions of how person-centred care can be operationalised and supported in everyday practice by the leadership of nursing home managers. The study is significant in that it provides evidence on how the provision of person centred care can be facilitated by managers and the important role they play in developing and maintaining this philosophy of care within nursing homes.

  • 22.
    Backman, Annica C.
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Lövheim, Hugo
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation. Umeå University, Faculty of Medicine, Wallenberg Centre for Molecular Medicine at Umeå University (WCMM).
    Edvardsson, David
    School of Nursing and Midwifery, La Trobe University, Melbourne, Australia; Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Nursing home managers' descriptions of multi-level barriers to leading person-centred care: a content analysis2024In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 19, no 1, article id e12581Article in journal (Refereed)
    Abstract [en]

    Background: Research suggests that person-centred care can be beneficially implemented and sustained, even though barriers remain that prevent uptake in clinical practice. Understanding barriers to person-centred care seems important, as this has an impact on care practices and resident outcomes. Moreover, there is limited knowledge about nursing home managers' descriptions of barriers when leading person-centred care.

    Objectives: To explore barriers to leading person-centred care as narrated by nursing home managers.

    Methods: A descriptive qualitative design was used to collect data using individual interviews with 12 nursing home managers in highly person-centred nursing homes. Data were analysed using content analysis.

    Results: Multi-level barriers to leading person-centred care were identified on the (1) person level, (2) team level and (3) organisational level. Placing professional and family considerations ahead of resident considerations was described as a barrier on the personal level (1). Also, staff's divergent care values, processes, and priorities together with turnover and low foundational knowledge were identified as barriers on the team level (2). On an organisational level (3), constrained finances, functional building design and group level rostering were identified as barriers.

    Conclusion: Multi-level barriers influence nursing home managers' ability to lead and promote person-centred care. Promoting the development of person-centred practices requires efforts to eliminate barriers on person, team and organisational level.

    Implications for Practice: Identifying and overcoming barriers at various levels in nursing home care has the potential to promote person-centred practices. This study can inform stakeholders and policymakers of challenges and complexities in person-centred practices. Multi-level strategies are needed to target challenges at person-, team- and organisational level when striving to develop person-centred care.

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  • 23.
    Backman, Annica C.
    et al.
    Umeå University, Faculty of Medicine, Department of Nursing.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Sjögren, Karin
    Umeå University, Faculty of Medicine, Department of Nursing.
    Lövheim, Hugo
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.
    McGilton, Katherine S.
    Edvardsson, David
    Umeå University, Faculty of Medicine, Department of Nursing. School of Nursing and Midwifery, La Trobe University, Melbourne, Vic., Australia.
    Embodying person-centred being and doing: leading towards person-centred care in nursing homes as narrated by managers2020In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, no 1-2, p. 172-183Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore how managers describe leading towards person-centred care in Swedish nursing homes.

    BACKGROUND: Although a growing body of research knowledge exists highlighting the importance of leadership to promote person-centred care, studies focused on nursing home managers' own descriptions of leading their staff towards providing person-centred care is lacking.

    DESIGN: Descriptive interview study. COREQ guidelines have been applied.

    METHODS: The study consisted of semi-structured interviews with 12 nursing home managers within 11 highly person-centred nursing homes purposively selected from a nationwide survey of nursing homes in Sweden. Data collection was performed in April 2017, and the data were analysed using content analysis.

    RESULTS: Leading towards person-centred care involved a main category; embodying person-centred being and doing, with four related categories: operationalising person-centred objectives; promoting a person-centred atmosphere; maximising person-centred team potential; and optimising person-centred support structures.

    CONCLUSIONS: The findings revealed that leading towards person-centred care was described as having a personal understanding of the PCC concept and how to translate it into practice, and maximising the potential of and providing support to care staff, within a trustful and innovative work place. The findings also describe how managers co-ordinate several aspects of care simultaneously, such as facilitating, evaluating and refining the translation of person-centred philosophy into synchronised care actions.

    RELEVANCE TO CLINICAL PRACTICE: The findings can be used to inspire nursing home leaders' practices and may serve as a framework for implementing person-centred care within facilities. A reasonable implication of these findings is that if organisations are committed to person-centred care provision, care may need to be organised in a way that enables managers to be present on the units, to enact these strategies and lead person-centred care.

  • 24.
    Johansson, Stina
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    The significance of education for establishment in the care sector: women and men as care workers with a migrant background2014In: Educational gerontology, ISSN 0360-1277, E-ISSN 1521-0472, Vol. 40, no 6, p. 442-457Article in journal (Refereed)
    Abstract [en]

    In this article, we have followed women and men with a Swedish or an immigrant background that have completed the Upper Secondary Health Care Program. In which occupations do they work? Who employs them? Which target groups do they serve? Official statistics and survey data were used. The interaction between occupational structure and educational experiments was in focus. Gendered and cultural segregation and concentration within and between occupational groups were analysed in relation to defined target groups and employer. We found that official statistics were not sensitive enough to capture the latent structure, while the survey uncovered signs of concentration and segregation of the care workers to certain occupations or target groups. Traditional career patterns were strengthened. Elderly care attracted women while mental care attracted men. We also found some unexpected paths among immigrant workers who chose more autonomous niches.

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    The Significance of Education for Establishment in the Care Sector: Women and Men and Care Workers with a Migrant Background
  • 25.
    Lövgren, Veronica
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Kalman, Hildur
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Andersson, Katarina
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Care recipients’ management of and approaches to receiving personal and intimate care2023In: Journal of Social Work, ISSN 1468-0173, E-ISSN 1741-296X, Vol. 23, no 6, p. 1118-1134Article in journal (Refereed)
    Abstract [en]

    Summary: An interview study was conducted with persons receiving home care services and personal assistance in Sweden (13 individuals, 25 interviews) with the aim to analyze their experiences of managing personal and intimate care. The analytical approach was guided by phenomenologically informed research and Erving Goffman's theoretical work on self-presentation and social life as it differs in frontstage and backstage settings.

    Findings: A reflected approach to the complex challenges associated with becoming and being a person in need of personal and intimate care was revealed. This involved continuous adaptations and attuning to organizational and relational conditions of formal home care. Being a recipient of personal and intimate care does not mean being passive. It entails relating to and sustaining the care relation, where even choosing to accept suboptimal conditions is an act of agency. The recipients’ private homes were hybridized, transformed both into a waiting room, with the recipient on standby and into a workplace. The homes thus partly lost their character as a backstage realm where one could avoid the gaze of others. This also led to a hybridization of the personal sphere, in the form of marginal scope for true privacy, necessitating strategies for protecting one's own space.

    Applications: It is important both to acknowledge the intrusive nature of personal and intimate care, which results in extensive hybridization of the home and personal sphere and to recognize care recipients’ agency in the relationship that care establishes.

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  • 26.
    Sauer, Lennart
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Introduktion2021In: Att forska i socialt arbete: utmaningar, förhållningssätt och metoder / [ed] Petra Ahnlund, Lennart Sauer, Lund: Studentlitteratur AB, 2021, 2, p. 9-13Chapter in book (Other academic)
  • 27.
    Sauer, Lennart
    et al.
    Umeå University, Faculty of Social Sciences, Social Welfare.
    Blom, Björn
    Umeå University, Faculty of Social Sciences, Social Welfare.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Social Welfare.
    Morén, Stefan
    Umeå University, Faculty of Social Sciences, Social Welfare.
    Kvalitativ analys och teorigenerering med datorstöd2008In: Att forska i socialt arbete: utmaningar, förhållningssätt och metoder, Studentlitteratur, Lund , 2008Chapter in book (Other academic)
  • 28.
    Wikström, Eva
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work. Institutionen för socialt arbete, Umeå universitet.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Making Refugees Work?: Individualized Work Strategies in the Swedish Refugee Settlement Program2018In: Nordic Journal of Working Life Studies, E-ISSN 2245-0157, Vol. 8, no S4, p. 47-65Article in journal (Refereed)
    Abstract [en]

    In Sweden and elsewhere, work strategies have gained greater significance in social policy, and now also in settlement programs for refugees. This article addresses the level of practice of the refugee settlement program in Sweden, which previously emphasized ‘support’ and ‘social responsibility’, but now emphasizes ‘activation’ and ‘individual responsibility’. Through an analysis of interviews and individual action plans, we investigate how activation is put into practice in the work activities of refugee settlement and how employment officials and refugees articulate and experience the role that activation plays in refugees’ integration processes. The conclusion drawn is that activation is a central feature, but it involves conditionalizing elements that are used as the means to emphasize ‘work’ as the route to integration and to keep the ‘less employable’ refugees activated. The activation techniques applied require refugees to demonstrate that they are taking responsibility for their integration process and for increasing their employability

    Download full text (pdf)
    fulltext
  • 29.
    Wikström, Eva
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ahnlund, Petra
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Responsibilisation of refugees – discourses and practices in the Swedishsettlement programme for refugees2017Conference paper (Other academic)
1 - 29 of 29
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